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Related Experiment Videos

The segmental pectoralis major muscle flap: a function-preserving procedure.

W D Morain, L B Colen, J C Hutchings

    Plastic and Reconstructive Surgery
    |June 1, 1985
    PubMed
    Summary

    This study introduces a novel function-sparing pectoralis major muscle flap technique. The procedure successfully preserved muscle function in most cases, offering a promising reconstructive option.

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    Area of Science:

    • Surgical Reconstruction
    • Plastic Surgery
    • Musculoskeletal Procedures

    Background:

    • Pectoralis major muscle flaps are utilized in reconstructive surgery.
    • Preserving muscle function post-resection is a significant clinical challenge.
    • Limited options exist for reconstructive procedures that maintain pectoralis major muscle integrity.

    Observation:

    • A medially based, segmental pectoralis major muscle flap was developed.
    • This flap utilizes a single intercostal portion supplied by the internal thoracic artery.
    • Segmental nerve innervation allows for preservation of the remaining muscle.

    Findings:

    • Six cases demonstrated the utility of this function-sparing flap.
    • Five of the six cases achieved successful outcomes.

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  • One case experienced distal tip loss when covering an irradiated carotid sheath.

    • Implications:

    • This technique offers a method for pectoralis major muscle function preservation.
    • It presents a viable reconstructive option for head and neck or chest defects.
    • Further research may refine the technique for complex reconstructions, such as irradiated areas.